Organization Active NPI

Magnante Eye Care II LLC

  • Ophthalmology Physician
  • Lafayette, IN
National Provider Identifier
1548966054
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
MAGNANTE EYE CARE II LLC
Practice address
975 Mezzanine Dr Ste B
Lafayette, IN 47905-8635
Phone
(765) 449-7564
Fax
(765) 807-7943
NPI assigned
Feb 6, 2023
Last updated
Feb 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David MagnanteNPI 1255309423
Title
MD
Phone
(765) 449-7564

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

975 Mezzanine Dr Ste B
Lafayette, IN 47905-8635

Mailing address

975 Mezzanine Dr Ste B
Lafayette, IN 47905-8635
Phone (765) 449-7564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230323001138 IN Part B Supplier - Clinic/Group Practice 6002280559 Receives reassigned benefits from 1 practitioner
Practice locations: Lafayette, IN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1548966054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 MEZZANINE DR STE B",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479058635",
            "telephone_number": "765-449-7564",
            "fax_number": "765-807-7943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 MEZZANINE DR STE B",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479058635",
            "telephone_number": "765-449-7564",
            "fax_number": "765-807-7943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNANTE EYE CARE II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "MAGNANTE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "765-449-7564"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.